Health Psychology Research Articles

CONNECTING COMMUNITIES: ROLES OF AGING ATTITUDES, PLACE ATTACHMENT, AND PSYCHOLOGICAL WELL-BEING

Abstract As the global population ages, communities must find innovative ways to support older adults. This symposium focuses on the intersections of aging, community, and culture, particularly emphasizing the importance of place attachment, aging attitudes, psychological well-being, and engagement in promoting healthy aging. Leading experts from social gerontology, psychology, and public health across the globe will explore the complex relationships between aging, community, and culture. Drs. HM Chen from Texas A&M University–Central Texas (TAMCT) and Hou from the University of Central Florida (UCF) from the United States will start the symposium with a systematic literature review on culture and aging in the community among Chinese older adults. Drs. JJ Chen and Liu from the National Cheng-Kung University (NCKU) will examine the mediating effect of psychological place attachment, how older adults perceive their living environments, and (positive versus negative) attitudes towards aging and psychological well-being. Dr. Hou from UCF will further assess aging attitudes (engagement versus enjoyment) among older adults participating in neighborhood lunch versus lifelong learning programs to discuss the implications of tailored aging service development. Finally, Drs. Lin and Fung from The Chinese University of Hong Kong (CUHK) will discuss the association between activity diversity and psychological well-being among community-dwelling older adults in Hong Kong. Through interdisciplinary dialogue and sharing of lessons learned, this global symposium promotes a deeper understanding of the roles of aging attitudes, place attachment, culture, and psychological well-being among older adults to foster innovative approaches to promoting healthy aging and community engagement. This is an Aging Among Asians Interest Group Sponsored Symposium. This is a collaborative symposium between the Aging Among Asians and International Comparisons of Healthy Aging Interest Groups.

INTEGRATING HEALTH POLICY EDUCATION INTO AN UNDERGRADUATE PSYCHOLOGY COURSE

Abstract Education on health policy processes are lacking in psychology training programs. Psychologists can be helpful to policy making and evaluation processes; however, few have the training, experience, or exposure to health policy necessary to feel comfortable entering into this area. Health policy education was integrated into an existing undergraduate psychology adult development and aging curriculum. Students completed weekly knowledge quizzes, two health policy specific assignments, and a class lecture on the intersection of health policy, aging, and psychology. N = 97 students (Mage = 21.54, SD = 4.94) over six semesters completed pre-post knowledge, skill, and ability assessments. Paired samples t-tests indicated increased knowledge t(96)= -5.89, p < .001, Cohen’s d = .60, and understanding of health policy making t(94)= -5.69, p < .001, Cohen’s d = .58; and ability to critically evaluate health policies t(96)= -3.03, p = .003, Cohen’s d = .31. Students identified psychology t(95)= -5.20, p < .01, Cohen’s d = .53 and psychological research t(95)= -3.71, p < .001, Cohen’s d = .38 as having a greater role in health policy following the course. Students felt they would use the health policy skills and knowledge learned in this course and agreed the policy related topics and assignments were valuable. Integrating health policy education into an undergraduate psychology course was feasible and had a positive impact on student’s knowledge, skills, and abilities in this domain. This format may be appropriate for graduate psychology training and may help build psychologists confidence to participate in health policy activities.

Perceived Stigma in Patients with Autoimmune Hepatitis.

Perceived stigma (PS) adversely impacts psychosocial and disease outcomes in patients with chronic liver diseases (CLD), and those with autoimmune hepatitis (AIH) may be at risk for PS given inaccurate assumptions about the origin of their diagnosis. The aims of the current study areto describe the frequency of PS in patients with AIH, compare rates of PS in AIH to rates of PS in primary biliary cholangitis (PBC) and CLD, and examine demographic correlates of PS. 262 adults with AIH (95% female, Mage = 51.53years) completed online questionnaires on demographics, disease information, and PS. 54-68% reported PS with themes of selective disclosure, non-disclosure, or hiding diagnosis. PS was higher in those with AIH compared to those with PBC, but lower than those with various CLD. Age was inversely related to PS. Given the results,provider screening of PS and integration of clinical health psychologists may be helpful for identifying PS in patients with AIH.

Research on the benefits of nature to people: How much overlap is there in citations and terms for ‘nature’ across disciplines?

Abstract Research on the diverse benefits of nature to people is characterised by a broad range of disciplines involved, encompassing a variety of approaches, methods and terminologies. While a diversity of approaches is valuable, it can lead to difficulties in integrating and sharing findings, and could form a barrier to effective knowledge exchange, hindering the development and applications of research outputs. As a starting point for this scoping review, we chose four broad research areas (medicine, psychology, education and environment), selected to represent disparate approaches to research on the benefits of nature to people, within and across which to explore overlap in citations and terms used to describe nature. We conducted expert consultation and a snowball‐based approach to source publications, resulting in a sample of 210 papers spanning multiple disciplines within each of our four research areas. For each paper, we recorded the discipline of the journal in which it was published (publishing discipline), the discipline of its first author (first‐author discipline), the number of times journals of each discipline were cited in their bibliographies (cited discipline) and the term(s) used in the paper's title or abstract to describe the aspect of nature being explored (nature term). The cited disciplines were significantly different between publishing and first‐author disciplines, with papers from psychology, education and public health citing distinct communities of papers. However, disciplines generally cite a wide range of other disciplines, with articles in medical journals being particularly broadly cited. Nature terms were significantly different between publishing and first‐author disciplines, with some degree of consistency within disciplines (e.g. education papers consistently used a narrow range of nature terms, such as ‘outdoor learning’). However, there was a notably high range of nature terms used within psychology and public health papers, indicating that research from these disciplines may be particularly prone to being overlooked by search strings. The wide range of disciplines cited is encouraging, since this indicates that diverse research areas are generally aware of each other's work. However, to avoid unnecessary expansion of nature terms and support searchability, we propose four key terms for nature: (‘outdoor learning’ OR ‘outdoor education’), (‘nature’ OR ‘natural’), (‘green space’ OR ‘greenspace’) and (‘biodiversity’ or ‘trees’), which could be used across disciplines. We particularly propose that at least one of these be included in every paper, and all four should be included in review search strings. This is likely to result in a better understanding of the valuable, disparate contributions made by different disciplines to this expanding and important topic. Read the free Plain Language Summary for this article on the Journal blog.

Examining acute environmental effects on affective state, expectancy, and intention in sport climbing.

Psychological research has shown that, among other variables, affective state, expectancy, and behavioral intention influence whether or not a (physically active) behavior is performed. Environmental effects during physical activity on affective state have been well studied; however, research regarding environmental effects on expectancy or intention is limited. Sport climbing is a form of physical activity that is performed both indoors and outdoors and is therefore considered as suitable to study environmental effects. Therefore, the aim of the present study was to investigate environmental effects during sport climbing on affective state, expectancy, and intention. The nature of the relationship between some of these parameters should also be explored. Using a within-subjects design, 48 participants were to climb both once indoors in a climbing gym and once outdoors at a crag. The design included questionnaire-based surveys at multiple time points. Affective state, expectancy, and behavioral intention were measured at different test time points. Two-factor repeated-measures ANOVAs revealed significant main effects of the factors environment (indoor - outdoor) and time (T1 - T2 - T3) for affective state, indicating more positive affective state during outdoor climbing. No environment*time interactions were found. Furthermore, significantly higher intention (d = 0.32; p = 0.032) was measured after the outdoor condition (M = 32.5, SD = 4.1) compared to the indoor condition (M = 31.2, SD = 4.7). Multiple linear regressions revealed that expectancies (measured before and after the session) significantly predicted post-climbing intention only indoors. The results at least partly suggest environmental effects on behaviorally relevant variables during climbing. Outdoor climbing might provide more favorable characteristics for physically active behavior compared to indoor climbing. Health psychologists or public health professionals who focus on increasing physical activity for their clients could recommend outdoor climbing over indoor climbing.

Family System and Gender as Predictors of Religious Coping in Pakistani Patients with Hepatitis C.

Pakistan has the second-largest number of HCV infections in the world with homogeneity across provinces and no evidence of decline over the past 30years (Mahmud et al. in BMC Infect Dis 19(1):1-11, 2019). Currently, one in every 20 Pakistanis is suffering from HCV (Haqqi et al. in Viral Immunol 32(9):402-413, 2019). The disease significantly interferes with the everyday life of the patient (Silberbogen et al. in Psychosomatics 50(2):114-122, 2009;Foster in Viral Hepat 16(9):605-611, 2009).The present research aimed to find the role of gender, family system, and social support in predicting coping in patients with hepatitis C (HCV). A sample of 100 HCV patients was taken using purposive sampling from different public and private hospitals in Lahore, Pakistan. For assessment, the Multidimensional Scale of Perceived Social Support and Brief Cope Inventory were used. Results showed that male hepatitis C patients used a higher level of religious coping. Hepatitis C patients living in a joint family system used a higher level of religious coping. It also showed that there was no significant relationship between social support and coping. Patients suffering from hepatitis C for 2years or more adopted avoidant coping strategies as compared to the patients diagnosed for 1year or more. This research has important implications for psychologists, paramedical staff, doctors, social workers, caregivers, peers, and families of patients suffering from HCV. It would help in formulating effective therapeutic interventions. It would also add to the literature in the field of health psychology.

The Relationship between Resilience and Mindfulness with Mental toughness by the Mediating Role of Self-Compassion in Cancer Patients

Object: The aim of this study was to evaluate the relationship between resilience and mindfulness with mental toughness mediated by self-compassion in cancer patients.
 Method: The method of this research is descriptive and the correlational research design is structural equation modeling. The statistical population in this study included cancer patients in 1399 who were selected by purposive sampling. The sample consisted of 200 cancer patients (male and female) referred to the Oncology Clinical Center of Imam Hossein Hospital in Tehran. To collect data from the Short Form of Mindfulness Mind Scale, the Resilience Scale, the Compassion Scale Form, and the mental toughness Scale were used. The bootstrap method was used to analyze the intermediate relationships.
 Results: The results showed that the direct effect of resilience and mindfulness on self-compassion was significant with coefficients of (0.27) and (0.29). The direct effect of mindfulness on mental toughness, (0.056) was not significant, but the direct effect of resilience on mental toughness (0.31) was significant. The indirect effects of resilience and mindfulness on mental toughness with mediating role of self- compassion were significant respectively with coefficients (0.089) and (0.092).
 Conclusion: The results of the research have practical implications for health professionals and psychologists and it can be concluded that Resilience and Mindfulness by the mediating role of self-compassion effects on the mental toughness of cancer patients.

Reboot coaching programme: a mixed-methods evaluation assessing resilience, confidence, burnout and depression in medical students.

Poor mental health in medical students is a global concern. Effective interventions are required, which are tailored towards the training-related stressors medical students experience. The Reboot coaching programme is an online, tailored intervention based on cognitive-behavioural principles. To evaluate whether the Reboot coaching programme tailored for medical students was feasible and associated with improvements in mental health outcome indicators. Medical students participated in two group online workshops and a one-to-one coaching call with a Reboot-trained licensed psychological therapist. Participants provided data at: baseline (T1), post-workshops (T2), post-coaching call (T3) and 4-month follow-up (T4). Outcome measures included resilience, confidence, burnout and depression. Feedback was provided regarding the workshops at T2. 115 participants (93/80.9% women; mage = 23.9; SD = 2.8) were recruited, 83 (72.2%) completed all intervention elements and 82 (71.3%) provided T4 data, surpassing recruitment and retention targets. There were significant improvements following baseline in resilience (ps < .001), confidence (ps < .001), burnout (ps < .001) and depression (ps ≤ .001). Most participants agreed the workshops imparted useful skills (n = 92; 99%) and would recommend Reboot to others (n = 89; 95.6%). Existing interventions have produced mixed results regarding their effectiveness in improving medical students' mental health. Reboot is a feasible intervention in this group which is associated with improvements in resilience, confidence, burnout and depression. Further controlled studies of Reboot are now needed.

International Workshop on Psychology and Mental Health, December 29-31, 2023.

International Workshop on Psychology and Mental Health, December 29-31, 2023.

The role of social media in public health crises caused by infectious disease: a scoping review

ImportanceThe onset of the COVID-19 global pandemic highlighted the increasing role played by social media in the generation, dissemination and consumption of outbreak-related information.ObjectiveThe objective of the current review is...

Adolescent health behavior research.

The Adolescent Brain Cognitive Development (ABCD) Study is the largest, long-term study of brain development and child and adolescent health that has ever been conducted in the United States. The ABCD Research Consortium is supported by the National Institutes of Health and includes a central coordinating center, a data analysis and informatics core, and 21 research sites across the country. This special issue of Health Psychology presents some important findings on adolescent health behavior that have recently emerged from the ABCD Study (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Leveraging the adolescent brain cognitive development study to advance and promote adolescent health: Introduction to the special issue.

The empirical reports in this special issue of Health Psychology showcase the work of a diverse array of accomplished early-stage investigators who are members of the Adolescent Brain Cognitive Development (ABCD) study consortium and who are drawn from the community of female and underrepresented scientists. Their studies focus primarily on youth assessed during preadolescence and early adolescence, and they are based on the ABCD data that were available to the scientific community at the time this special issue was being prepared (e.g., baseline, Years 1 and 2 assessments). They address a variety of questions about adolescent health behavior, such as the effects of screen time and caffeine on sleep; individual lifestyle, neighborhood, and environmental factors associated with physical health conditions and brain development; and the antecedents and consequences of prenatal and adolescent substance exposure. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

ERS International Congress 2023: highlights from the Allied Respiratory Professionals Assembly.

This article summarises some of the outstanding sessions that were (co)organised by the Allied Respiratory Professionals Assembly during the 2023 European Respiratory Society International Congress. Two sessions from each Assembly group are outlined, covering the following topics: Group 9.01 focuses on respiratory physiology techniques, specifically on predicted values and reference equations, device development and novel applications of cardiopulmonary exercise tests; Group 9.02 presents an overview of the talks given at the mini-symposium on exercise training, physical activity and self-management at home and outlines some of the best abstracts in respiratory physiotherapy; Group 9.03 highlights the nursing role in global respiratory health and presents nursing interventions and outcomes; and Group 9.04 provides an overview of the best abstracts and recent advances in behavioural science and health psychology. This Highlights article provides valuable insight into the latest scientific data and emerging areas affecting the clinical practice of Allied Respiratory Professionals.

Conquering fear and embracing joy in shaping marketing strategy

This research investigates the complex relationship between Problematic Internet Use (PIU) and various psychological aspects, including Psychology and Mental Health (PMH), Fear of Missing Out (FOMO), and Social Media Fatigue (SMF). Furthermore, this study was designed to test various psychological conditions regarding the Desire to Disconnect (DD), which ultimately results in the Joy of Missing Out (JOMO). Through a structural equation model involving 310 college student respondents, this study found that PIU is associated with suffering in PMH, heightened FOMO, increased SMF, and that FOMO exacerbates SMF. Moreover, SMF drives DD, and ultimately, DD causes JOMO. In response to these findings, we argue that achieving a balance in marketing between FOMO-based online strategies and JOMO-based offline strategies needs to be a priority for sustainable brand marketing. Additionally, it is crucial to consider ethical issues in content moderation aligned with FOMO to safeguard consumers' psychological well-being.

“I wasn’t interested until I actually had that consultation”: Exploring the acceptability of a community pharmacy-based hypertension visualisation intervention

Abstract Introduction Hypertension affects around 30% of the UK population and is the leading modifiable cause of cardiovascular disease1. Despite available evidence-based treatments, nonadherence to antihypertensive medication is prevalent. Health psychology theory suggests that beliefs about a condition and its treatment influence health-related behaviours such as medication adherence through the formation of ‘illness representations’, a lay perception of the health threat. Accurate illness representations and an increased belief in the necessity for medication are associated with greater medication adherence2. Visualisation of the internal process of an illness has been shown to support the accuracy of illness representations3. ViSTA-BP (Visualisation to Support Treatment Adherence for High Blood Pressure) is a digital intervention used within a healthcare consultation, enabling individuals to visualise and conceptualise hypertension and the resulting changes to the circulatory system using real-time animations. The purpose is to support medication adherence through the improved understanding of hypertension and increased perception of medication necessity. Aim To explore the acceptability of a community pharmacy-based hypertension visualisation intervention (ViSTA-BP) with community pharmacists and patients. Methods Acceptability of ViSTA-BP was investigated in a community pharmacy setting in South Wales by conducting semi-structured qualitative interviews with pharmacists and patients. Ethical approval was granted by NHS Research Ethics Committee Wales (REC) 5 (20/WA/0280) and Cardiff Metropolitan University Ethics Committee (PGR-3806). Template analysis, a form of qualitative thematic analysis, was used to guide data interpretation. The Theoretical Framework of Acceptability (TFA) provided a lens through which to investigate acceptability, considering affective attitude towards the intervention burden, intervention coherence, ethicality, opportunity costs, perceived effectiveness and self-efficacy. Patients were purposely selected, incorporating a range of locations, adherence and treatment beliefs, thus minimising bias. Results Interviews were conducted with fifteen patients and eight pharmacists who provided feedback. Both groups demonstrated a positive attitude towards ViSTA-BP. Patients were both interested in and reassured by the intervention. They showed good intervention coherence, articulating an increased understanding of hypertension and suggesting patient groups that could benefit from ViSTA-BP. Pharmacists felt ViSTA-BP illustrated the necessity for medication, demonstrating that hypertension could be managed effectively. Patients and pharmacists were positive about ViSTA-BP’s potential for effectiveness. Patients felt it provided context for their understanding of hypertension and could prompt action. Pharmacists liked the visual elements, with ViSTA-BP providing a useful addition to their consultation ‘toolkit’. Patients felt that ViSTA-BP fits well within a community pharmacy setting. Intervention accessibility and facilitator knowledge were key; patients found the intervention duration acceptable. Pharmacists felt that ViSTA-BP fits within their current practice. However, the evolving role of the community pharmacy workforce and time pressures from competing workloads created uncertainty regarding the future feasibility of ViSTA-BP within this setting. Discussion/Conclusion Both patients and pharmacists were positive about ViSTA-BP, acknowledging the potential effectiveness of the personalised interactive visual to engage the viewer and conceptualise hypertension through visual-based communication. However, pharmacists’ perceptions of future roles supported by the community pharmacy contractual framework in Wales and staff time constraints provide potential barriers to future implementation.

The dynamic interaction between symptoms and pharmacological treatment in patients with major depressive disorder: the role of network intervention analysis

IntroductionThe Major Depressive Disorder (MDD) is a mental health disorder that affects millions of people worldwide. It is characterized by persistent feelings of sadness, hopelessness, and a loss of interest in activities that were once enjoyable. MDD is a major public health concern and is the leading cause of disability, morbidity, institutionalization, and excess mortality, conferring high suicide risk. Pharmacological treatment with Selective Serotonin Reuptake Inhibitors (SSRIs) and Serotonin Noradrenaline Reuptake Inhibitors (SNRIs) is often the first choice for their efficacy and tolerability profile. However, a significant percentage of depressive individuals do not achieve remission even after an adequate trial of pharmacotherapy, a condition known as treatment-resistant depression (TRD).MethodsTo better understand the complexity of clinical phenotypes in MDD we propose Network Intervention Analysis (NIA) that can help health psychology in the detection of risky behaviors, in the primary and/or secondary prevention, as well as to monitor the treatment and verify its effectiveness. The paper aims to identify the interaction and changes in network nodes and connections of 14 continuous variables with nodes identified as "Treatment" in a cohort of MDD patients recruited for their recent history of partial response to antidepressant drugs. The study analyzed the network of MDD patients at baseline and after 12 weeks of drug treatment.ResultsAt baseline, the network showed separate dimensions for cognitive and psychosocial-affective symptoms, with cognitive symptoms strongly affecting psychosocial functioning. The MoCA tool was identified as a potential psychometric tool for evaluating cognitive deficits and monitoring treatment response. After drug treatment, the network showed less interconnection between nodes, indicating greater stability, with antidepressants taking a central role in driving the network. Affective symptoms improved at follow-up, with the highest predictability for HDRS and BDI-II nodes being connected to the Antidepressants node.ConclusionNIA allows us to understand not only what symptoms enhance after pharmacological treatment, but especially the role it plays within the network and with which nodes it has stronger connections.

Ethical, legal, and social implications of digital health: A needs assessment from the Society of Behavioral Medicine to inform capacity building for behavioral scientists.

The ethical, legal, and social implications (ELSIs) of digital health are important when researchers and practitioners are using technology to collect, process, or store personal health data. Evidence underscores a strong need for digital health ELSI training, yet little is known about the specific ELSI topic areas that researchers and practitioners would most benefit from learning. To identify ELSI educational needs, a needs assessment survey was administered to the members of the Society of Behavioral Medicine (SBM). We sought to identify areas of ELSI proficiency and training need, and also evaluate interest and expertise in ELSI topics by career level and prior ELSI training history. The 14-item survey distributed to SBM members utilized the Digital Health Checklist tool (see recode.health/tools) and included items drawn from the four-domain framework: data management, access and usability, privacy and risk to benefit assessment. Respondents (N = 66) were majority faculty (74.2%) from psychology or public health. Only 39.4% reported receiving "formal" ELSI training. ELSI topics of greatest interest included practices that supported participant engagement, and dissemination and implementation of digital tools beyond the research setting. Respondents were least experienced in managing "bystander" data, having discussions about ELSIs, and reviewing terms of service agreements and privacy policies with participants and patients. There is opportunity for formalized ELSI training across career levels. Findings serve as an evidence base for continuous and ongoing evaluation of ELSI training needs to support scientists in conducting ethical and impactful digital health research.

The Development of a Novel Suicide Postvention Healing Model for Muslim Communities in the United States of America.

Suicide among American Muslims is understudied, despite recent research highlighting increased suicide attempts amongthis population. While suicide is forbidden in Islam, formal guidelines for addressing and responding to suicide within Muslim communities did not exist until recently. The Stanford Muslim Mental Health and Islamic Psychology Lab has responded to a number of suicides in Muslim communities across North America and implemented an original model for suicide response and community healing. This approach incorporates Islamic principles and values to create a culturally and religiously congruent response to suicide that can support loss survivors and steer impacted communities toward healing. The Muslim Postvention Community Healing session described in this paper aims to provide a safe space for individuals impacted by suicide to come together and process their emotions, while also using Islamic teachings to guide the healing process. This unique model has the potential to serve as a valuable resource for Muslim communities across North America, and beyond, in addressing and responding to suicide.

Contributing factors to secondary traumatic stress and vicarious posttraumatic growth in therapists.

Alongside the recognized potential negative repercussions of working as a psychological therapist, there is growing interest in the potential positive impacts of engaging in such work. The current study used a cross-sectional online survey design to explore the impact of a range of demographic, work-related, and compassion-related factors on levels of secondary traumatic stress (STS) and vicarious posttraumatic growth (VPTG) in an international sample of 359 psychological therapists. Hierarchical multiple regressions demonstrated that burnout, lower levels of self-compassion, having a personal trauma history, reporting a higher percentage of working time with a trauma focus, and being female were the statistically significant contributors to STS scores, explaining 40.8% of the variance, F(9, 304) = 23.2, p <.001. For VPTG, higher compassion satisfaction, higher self-compassion, higher STS, a higher percentage of working time with a trauma focus, fewer years qualified, being male, and having a personal trauma history were all statistically significant contributors, explaining 27.3% of the variance, F (10, 304) = 11.37, p <.001. The findings illustrate the potential risk and protective factors for developing STS and clarify factors that may increase the likelihood of experiencing VPTG. Implications for psychological therapists and the organizations and institutions for which they work are considered along with potential directions for future research in the discussion.

"Learning with each other, about each other": Interdisciplinary learning among genetic counseling students and clinical health psychology residents.

Interprofessional collaborative healthcare is known to improve provider satisfaction and retention, as well as patient safety and quality of care. The specific knowledge, skills, and attitudes required to work in these environments are best taught interprofessionally. Despite having considerable overlap in training, orientation, and populations served, it is rare for trainees from genetic counseling and clinical health psychology to interact and learn together. In 2017, we developed an innovative week-long clinical health psychology rotation for students in the University of Manitoba MSc in Genetic Counselling Program, which aims to enrich psychotherapeutic/counseling knowledge and skills, as well as gain familiarity with the work of clinical psychologists. This rotation incorporates didactic teaching, observation, and structured reflection. Didactic teaching includes topics such as psychological assessment, adaptation to life-altering news, skills for managing intense emotional responses, and counseling for change. Observations of clinical health psychologists and clinical health psychology residents occur in a range of health settings. Structured reflection is practiced in both oral and written formats. Finally, both groups of trainees participate in an interprofessional case seminar series. Feedback from this experience has been very promising, and it was identified as a strength in the program's accreditation review. Adaptations over time include refining the clinical exposures to increase breadth and relevance, increasing the contact between the trainees from the two professions and enhancing the case seminar series to be more learner-driven and to focus on explicit interprofessional skills and themes. In addition to expected results, this rotation has led to some unanticipated findings, including an emergent emphasis on the social determinants of health and the need to work collaboratively for systemic change. Further, psychology residents have identified that it benefits them to learn more about genetic counseling and expressed interest in potential reciprocal learning opportunities in genetics clinics.